Assistant Medical Review Manager
Assistant Medical Review Manager
Posted on :
12-05-2025
Employer Active
1 Vacancy
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Job Description
Qlarant is a notforprofit corporation that partners with public and private sectors to create high quality safe and efficient delivery of health care and human services programs. We have multiple lines of business including population health utilization review managed care organization quality review and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud waste and abuse for large organizations across the country. In addition our Foundation provides grant opportunities to those with programs for underserved communities.
Best People Best Solutions Best Results
Job Summary:
Plans manages and coordinates activities of designated project(s) to ensure that goals or objectives of project are accomplished within prescribed time frame and funding parameters.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Reviews project proposal or plan to determine timeframe funding limitations procedures for accomplishing project staffing requirements and allotment of available resources to various phases of project.
- Establishes work plan and staffing for each phase of project and arranges for recruitment or assignment of project personnel to ensure deliverables are timely and within prescribed budget.
- Confers with project staff to outline work plan and to assign duties responsibilities and scope of authority.
- Maintains working knowledge of customer needs and contract requirements deliverables resources required.
- Develops and utilizes management tools to monitor contract performance.
- Provides oversight of contractual requirements; maintaining a working knowledge of customer needs and contract requirements deliverables resource requirements budget monitoring and adheres to cost projections and operational efficiencies.
- Prepares project reports for management client or others including written and oral updates and presentations.
- Ensures all deliverables are completed in a timely and efficient manner and as deemed acceptable by the customer.
- Confers with project personnel to provide technical advice interpret guidelines and to resolve problems.
- Works with assigned staff to ensure they have the skills and knowledge required to successfully handle their tasks including completing departmental staff training for various audits and updates.
- Complies with contract requirements and other established protocols.
- Protects and maintains the privacy of associate personnel records including compensation information.
Supervisory Responsibilities
Carries out supervisory responsibilities in accordance with the organizations policies and applicable laws. Responsibilities include interviewing hiring and training employees; planning assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. May manage subordinate supervisors who supervise employees and/or directly supervise nonsupervisory employees.
Required Skills
To perform the job successfully an individual should demonstrate the following competencies:
- Analytical Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures.
- Problem Solving /Critical Thinking Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops and communicates alternative solutions; Works well in group problem solving situations.
- Project Management Assists in the development of project plans; Coordinates projects; Communicates changes and progress; Completes projects on time and budget; Manages project team activities.
- Customer Service/Customer Relations Responds promptly to customer needs; Continually solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
- Managing People Includes staff in planning decisionmaking facilitating and process improvement; Takes responsibility for subordinates activities; Actively improves processes products and services.
- Quality Management Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
- Judgment Demonstrates the ability to make sound business decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decisionmaking process; Makes timely decisions.
- Planning/Organizing Prioritizes and plans work activities; Plans for additional resources; Sets goals and objectives; Develops realistic action plans.
- Delegation Effectively delegates work assignments; Matches the responsibility to the person; Sets expectations and monitors delegated activities.
- Organizational Support Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organizations goals and values.
- Computer Skills To perform this job successfully an individual should have knowledge of Spreadsheet Presentation Word Processing software. Familiarity with Access and Project Management software a plus.
Other Skills and Abilities
- Must possess knowledge of the structure and operations of the content area/program area have demonstrated superior management skills and the ability to plan implement and complete projects.
- Superior organizational skills and an ability to work with multidisciplines and external customer on a regular basis and the ability to integrate with the activities of several different professionals on multiples projects.
- Ability to communicate effectively with both internal and external people at all levels in the organization.
Required Experience:
Manager
Employment Type
Full-Time
Key Skills
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